PACIFIC WOUND CENTER MEDICAL GROUP, INC.
NPI: 1659399202
· STOCKTON, CA 95207
· Internal Medicine Physician
· NPI assigned 07/18/2006
$1.22M
Total Medicaid Paid
Provider Details
| Authorized Official | MCDONALD, WILLIAM (OWNER/AUTHORIZED OFFICIAL,(PER PECO) |
| NPI Enumeration Date | 07/18/2006 |
Related Entities
Other providers sharing the same authorized official: MCDONALD, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,338 |
$104K |
| 2019 |
4,449 |
$140K |
| 2020 |
3,905 |
$124K |
| 2021 |
7,291 |
$309K |
| 2022 |
7,406 |
$270K |
| 2023 |
4,805 |
$219K |
| 2024 |
640 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97597 |
|
8,140 |
3,513 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,335 |
3,027 |
$245K |
| 29581 |
|
4,555 |
1,555 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,688 |
2,442 |
$181K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,975 |
1,046 |
$172K |
| 29540 |
|
4,124 |
1,560 |
$53K |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
17 |
12 |
$40K |